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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 58-59

Co-infection of gastrointestinal tuberculosis with hookworm and entamoeba histolytica: A case report


1 Department of Microbiology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India
2 Department of Radiology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India

Correspondence Address:
Kumar Vinod
Assistant Professor, Department of Radiology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar
India
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Source of Support: None, Conflict of Interest: None


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The intestinal parasites interfere in nutritional and immune status, causing secondary infections, like Mycobacterium tuberculosis. Here we report a case with Entamoeba histolytica, Hookworm and Gastrointestinal tuberculosis co-infection which was not easy to diagnose. This 25 year old female patient, complained of vomiting, lower abdominal pain and giddiness. left iliac fossa mass was observed. On stool examination, trophozoites of Entamoeba histolytica was found. Stool for occult blood was negative. On Ultrasonography abdomen colitis was suspected. In repeated USG live worm was seen in bowel loop. Solitary enlarged mesenteric lymph node with cystic degeneration at umbilical region, of >10mm size was suspected to be tubercular node. Albendazole was given. After 15 days, on repeated Ultrasonography it was found that lymph nodes were matted and necrotic, Further USG guided FNAC was done from the lymph node and pathological report confirmed it as a case of tuberculosis. Antitubercular treatment was given to the patient. Patient responded well.


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